Pulpectomy Flashcards
1
Q
When would a pulpectomy be indicated?
A
- when patient co-operation is very good
- non vital pulp
- hyperaemic pulp when attempting pulpotomy
- irreversible pulpitis
- periapical periodontitis
2
Q
What are signs of a non-vital pulp?
A
Non-responsive to vitality / sensibility testing
PA pathology
Chronic or acute abscess w/lump on gum
3
Q
When would extraction be indicated?
A
Facial swelling and infection
4
Q
What is the procedure for a pulpectomy?
A
Periapical radiograph to get WL, set files to -2mm WL or can damage developing tooth below
1 - remove caries and access pulp and remove so canals are visible
2 - clear canals with files at -2mm WL
3 - irrigate with chlorhexadine and dry with paper points
4 - obturate with vitapex and seal with ZOE gel or GIC and place metal crown
5
Q
What should be done int he follow up appt?
A
Check signs of failure
- mobility of pathology
- fistula or chronic sinus pain
Radiographic signs of failure
- apical radiolucency
- internal or external resorption
- furcation bone loss
